When Lower Extremity Dysfunction Contributes To Back Pain

George C. Trachtenberg, DPM

In conclusion, I think podiatric practitioners should be looking closely at patients with complaints of low back pain and carefully assess their walking mechanics. It is imperative to assess movement difficulties and dysfunctions in the sagittal plane when evaluating and treating these particular patients. The results of eliminating podiatric biomechanical dysfunctions through appropriate orthotic treatment, particularly when addressing abnormal conditions in the sagittal plane, can yield remarkable results for the patient with low back dysfunction.

   Dr. Trachtenberg is in private practice in Vestal, N.Y. He specializes in video and computerized gait analysis to evaluate the postural effects of abnormal walking that can lead to disorders affecting the knees, hips, back and other related musculoskeletal dysfunctions. Dr. Trachtenberg is a Fellow of the American College of Foot and Ankle Surgeons, and a Diplomate of the American Board of Podiatric Surgery.


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Very informative and important paper.

I would just like to add that flexion of the spine can also be a result of the pelvis rotating posteriorly, which is called a posterior innominate. Comparing the PSIS to the ground in neutral calcaneal stance position to relaxed calcaneal stance position will help in ascertaining how orthoses will help in unilateral cases.

I am presently doing a study on the relationship of the lateral talus subluxation to the posterior innominate.

Eventually, we should become part of the team to treat the back.

Are there any recommendations for soft vs hard heel lifts in back pain?

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